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  1. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  2. Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. | PSNet

    psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations
    February 18, 2011 - Study Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. Citation Text: Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …

  3. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet

    psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
    September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  4. A customized triggers program: a children's hospital's experience in improving trigger usability. | PSNet

    psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
    September 01, 2021 - Study A customized triggers program: a children's hospital's experience in improving trigger usability. Citation Text: Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…

  5. Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. | PSNet

    psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
    November 16, 2022 - Study Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. Citation Text: Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…

  6. Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet

    psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
    April 06, 2022 - Study Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. Citation Text: Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…

  7. How house officers cope with their mistakes. | PSNet

    psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
    June 26, 2015 - Study Classic How house officers cope with their mistakes. Citation Text: Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  8. Perception of patient safety culture in pediatric long-term care settings. | PSNet

    psnet.ahrq.gov/issue/perception-patient-safety-culture-pediatric-long-term-care-settings
    May 10, 2023 - Study Perception of patient safety culture in pediatric long-term care settings. Citation Text: Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134. Copy C…

  9. Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet

    psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
    October 12, 2016 - Book/Report Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. Citation Text: Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Poo…

  10. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

    psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
    June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

  11. The impact of duty hours on resident self reports of errors. | PSNet

    psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
    October 28, 2009 - Study The impact of duty hours on resident self reports of errors. Citation Text: Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. Copy Citation Format: Google Scholar PubMed BibTe…

  12. The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. | PSNet

    psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
    September 28, 2022 - Study The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. Citation Text: Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Hea…

  13. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

    psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
    April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

  14. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

    psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

  15. Advancing nursing home quality through quality improvement itself. | PSNet

    psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-improvement-itself
    November 28, 2018 - Commentary Advancing nursing home quality through quality improvement itself. Citation Text: Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555. Copy Citation Format: DOI Goo…

  16. Rapid response team implementation and in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
    December 03, 2014 - Study Rapid response team implementation and in-hospital mortality. Citation Text: Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347. Copy Citation Format: …

  17. Development and testing of tools to detect ambulatory surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
    June 04, 2014 - Study Development and testing of tools to detect ambulatory surgical adverse events. Citation Text: Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88. …

  18. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - Study Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Citation Text: Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…

  19. Changes in prognosis after the first postoperative complication. | PSNet

    psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
    June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

  20. Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

    psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
    September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…
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